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DR. RANDALL FREDERICK O'BRIEN M.D. NPI 1346236155


NPI Information

NPI: 1346236155
Provider Name: DR. RANDALL FREDERICK O'BRIEN, M.D.
Classification: Specialist - 174400000X
Entity Type: Individual
Address:
2003 ALICE ST
SUITE A
WAYCROSS, GA
ZIP 31501
Phone: (912) 287-1130
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DR. Randall Frederick O'brien, M.D. is a specialist in Waycross, GA. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. DR. Randall Frederick O'brien, M.D. NPI is 1346236155. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2003 ALICE ST
SUITE A
WAYCROSS, GA
ZIP 31501-209
Phone: (912) 287-1130
Fax: (912) 287-9114

The enumeration date for this NPI number is 9/27/2005 and was last updated on 3/25/2010.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1174400000XSpecialist43249GEORGIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1F45932MEDICARE UPINGEORGIA
2200040070OTHERGEORGIAPALMETTO GBA
34309190001MEDICARE NSCGEORGIA
420BBFDRMEDICARE ID-TYPE UNSPECIFIED
500764772CMEDICAIDGEORGIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024
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All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

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